Provider Demographics
NPI:1518029529
Name:KLOPOTT, ZVI SIMCHA (MD,)
Entity Type:Individual
Prefix:DR
First Name:ZVI
Middle Name:SIMCHA
Last Name:KLOPOTT
Suffix:
Gender:M
Credentials:MD,
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:144 DUMBARTON DR
Mailing Address - Street 2:
Mailing Address - City:DELMAR
Mailing Address - State:NY
Mailing Address - Zip Code:12054-4426
Mailing Address - Country:US
Mailing Address - Phone:518-452-4232
Mailing Address - Fax:
Practice Address - Street 1:5 PINE WEST PLZ
Practice Address - Street 2:SUITE 508
Practice Address - City:ALBANY
Practice Address - State:NY
Practice Address - Zip Code:12205-5587
Practice Address - Country:US
Practice Address - Phone:518-452-4232
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY1241152084P0804X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0804XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyChild & Adolescent Psychiatry